Payer

In 2019, North Carolina will bring on private health plans to manage its Medicaid program, according to StarNews Online.

Anthem's policy to retrospectively deny coverage for emergency care it deems nonemergent could land 1 in 6 patients with denied claims if widely adopted, according to a study published in JAMA Network.

Ridgewood, N.J.-based Valley Hospital settled with Horizon Blue Cross and Blue Shield of New Jersey the day before a trial was set to begin on allegations that  the insurer pushed smaller community hospitals out of the market, according to NJ.com.

Microsoft will offer a new custom health plan option, dubbed the the Health Connect Plan, for some of its Washington state employees beginning in 2019.

CMS released premium and deductible information for 2019 Medicare Part A and B plans.

Health insurer Centene saw its revenue increase in the third quarter of fiscal year 2018 as its managed Medicaid business grew.

The Trump administration issued new guidelines and proposals aimed at giving states and employers more flexibility to waive ACA regulations.

State Medicaid agencies are more likely to experience a breach affecting a single individual, rather than a large-scale incident affecting numerous patients, according to a report from the Office of Inspector General at HHS.

The number of Medicare Advantage plans across the U.S. varies drastically, with as many as 50 plans available in some counties, according to an October data note from the Kaiser Family Foundation.

Health insurance startup Oscar Health intends to cover telemedicine services for members with complex care needs, according to Politico.